Ascend Therapeutic and Wellness Services of Iowa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ASCEND THERAPEUTIC AND WELLNESS SERVICES OF IOWA

Practice address

729 Park Ave
Ackley, IA 50601-1539

Phone

(319) 318-2250

NPI assigned

Feb 3, 2019

Last updated

Feb 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracie Self, LMHC

Title

Owner

Phone

(319) 318-2250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549152000000",
    "number": "1144785288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GRAY ST",
            "city": "APLINGTON",
            "state": "IA",
            "postal_code": "506041030",
            "telephone_number": "319-318-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PARK AVE",
            "city": "ACKLEY",
            "state": "IA",
            "postal_code": "506011539",
            "telephone_number": "319-318-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND THERAPEUTIC AND WELLNESS SERVICES OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-318-2250",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120316",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ackley Medical Center (A department of Ellsworth Hospital)
• Agwsr Community School District
• City of Ackley (Ackley Volunteer Ambulance Service)
• Ellsworth Municipal Hospital (Ackley Medical Center)
• Tiffany J Gramblin, ARNP
• Jennifer Lynn Jass, A.R.N.P
• Gary E Lawrence, MD

• Mental Health Counselor in Ackley, IA
• Providers in Ackley, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.